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SAM HOUSTON STATE UNIVERSITY
NPI 1942850565
Clinic/Center - Multi-Specialty in Conroe, TX

Active since September 16, 2019
1169 GRAND CENTRAL PKWY, CONROE, TX 77304(936) 525-3600(936) 525-3624 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 1, 2026, Oct 7, 2024, Sep 24, 2024 and 6 more (9 updates tracked since 2019).

About Sam Houston State University NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAM HOUSTON STATE UNIVERSITY (NPI 1942850565) is a healthcare organization registered as a multi-specialty in Conroe, Texas and active in the NPI registry since September 2019. The organization lists Amanda Withers, Cfo And Sr Vp For Operations, as its authorized official.

NPPES Registry Identity

NPI1942850565
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameSAM HOUSTON STATE UNIVERSITY
Location Address1169 GRAND CENTRAL PKWYConroe, TX 77304-3185
Mailing Address1169 Grand Central PkwyConroe, TX 77304-3185 · (936) 525-3600 · Fax (936) 525-3624
Phone(936) 525-3600
Fax(936) 525-3624
Organization SubpartYes
Authorized OfficialAmanda WithersCfo And Sr Vp For Operations · (936) 294-2686
Enumeration DateSeptember 16, 2019
Last NPPES UpdateSeptember 1, 20269 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2026
✔ NPI 1942850565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedNeuromusculoskeletal Medicine & OMMTaxonomy 204D00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPediatrics · Pediatric Hematology-OncologyTaxonomy 2080P0207X
1169 GRAND CENTRAL PKWY, Conroe, TX 77304
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sam Houston State University is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Sam Houston State University, which bills Medicare for the services they deliver. Of these, 14 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 5

Family Practice5
Internal Medicine4
Emergency Medicine2
Osteopathic Manipulative Medicine2
Clinical Psychologist1

Clinicians, nearest first (14)

Craig Boudreaux, DO
Family Practice
NPI 1497785117
1169 GRAND CENTRAL PKWY
Conroe, TX 77304
(936) 525-3600
✔ PECOS✔ Accepts MedicareSame address
Ouida Collins, MD MPH
Family Practice
NPI 1033246640
1169 GRAND CENTRAL PKWY
Conroe, TX 77304
(936) 525-3600
✔ PECOS✔ Accepts MedicareSame address
Peter Curka, M.D.
Emergency Medicine
NPI 1487675260
1169 GRAND CENTRAL PKWY
Conroe, TX 77304
(936) 525-3600
✔ PECOS✔ Accepts MedicareSame address
Victor Hsiao, M.D.
Internal Medicine
NPI 1316010002
1169 GRAND CENTRAL PKWY
Conroe, TX 77304
(936) 525-3600
✔ PECOS✔ Accepts MedicareSame address
Karen Nelson, PH.D.
Clinical Psychologist
NPI 1326815200
1169 GRAND CENTRAL PKWY
Conroe, TX 77304
(936) 525-3600
✔ PECOS✔ Accepts MedicareSame address
Simeon Nittala, DO
Osteopathic Manipulative Medicine
NPI 1912575887
1169 GRAND CENTRAL PKWY
Conroe, TX 77304
(936) 525-3600
✔ PECOS✔ Accepts MedicareSame address
Stephanie Potter, M.D.
Family Practice
NPI 1609892413
1169 GRAND CENTRAL PKWY
Conroe, TX 77304
(936) 525-3600
✔ PECOS✔ Accepts MedicareSame address
Megan Powell, M.D.
Internal Medicine
NPI 1275767899
1169 GRAND CENTRAL PKWY
Conroe, TX 77304
(936) 525-3600
✔ PECOS✔ Accepts MedicareSame address
Dennis Rau, DO
Osteopathic Manipulative Medicine
NPI 1134411168
1169 GRAND CENTRAL PKWY
Conroe, TX 77304
(936) 525-3600
✔ PECOS✔ Accepts MedicareSame address
Glenda Read, M.D.
Internal Medicine
NPI 1518030212
1169 GRAND CENTRAL PKWY
Conroe, TX 77304
(936) 525-3600
✔ PECOS✔ Accepts MedicareSame address
Gary Rhame, D.O.
Emergency Medicine
NPI 1417903535
1169 GRAND CENTRAL PKWY
Conroe, TX 77304
(936) 525-3600
✔ PECOS✔ Accepts MedicareSame address
Elizabeth Sargent, DO
Family Practice
NPI 1861988602
1169 GRAND CENTRAL PKWY
Conroe, TX 77304
(936) 525-3600
✔ PECOS✔ Accepts MedicareSame address
Candace Walkley, M.D.
Internal Medicine
NPI 1013939560
1169 GRAND CENTRAL PKWY BLDG E
Conroe, TX 77304
(936) 525-3600
✔ PECOS✔ Accepts MedicareSame address
Megan Woolford
Family Practice
NPI 1518495704
1169 GRAND CENTRAL PKWY
Conroe, TX 77304
(936) 525-3616
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sam Houston State University's NPI number?

The NPI number for Sam Houston State University is 1942850565. It was assigned to this organization in the NPPES registry on September 16, 2019.

Where is Sam Houston State University located?

Sam Houston State University is located at 1169 Grand Central Pkwy, Conroe, TX 77304. The listed phone number is (936) 525-3600.

What is Sam Houston State University's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Sam Houston State University enrolled in Medicare?

Yes. Sam Houston State University is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sam Houston State University?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 5 Medicare specialties reassign their Medicare billing to Sam Houston State University. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (5), Internal Medicine (4) and Emergency Medicine (2). Of these, 14 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sam Houston State University was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.